Evidence map›Paper›PMID 21411543›Full record

ArticleThe Journal of clinical endocrinology and metabolism2011

Progesterone resistance in PCOS endometrium: a microarray analysis in clomiphene citrate-treated and artificial menstrual cycles.

Ricardo F Savaris, Jeremy M Groll, Steven L Young, Franco J DeMayo, Jae-Wook Jeong, Amy E Hamilton, Linda C Giudice, Bruce A Lessey

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05062135 (Abnormalities of the Endometrium Persist Despite Adequate Progesterone Supplementation in the Polycystic Ovary Syndrome), which is not on this map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05062135 nacompletednot on this mapstarted 2014, after this paper: background citation

Abnormalities of the Endometrium Persist Despite Adequate Progesterone Supplementation in the Polycystic Ovary Syndrome

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2014 to 2019Enrolled36ConditionsPolycystic Ovary, Progesterone ResistanceArmsProgesterone 400 Mg Vaginal Suppository on PCOS
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 157 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Ricardo F SavarisDepartamento de Ginecologia e Obstetrícia, Programa de Pós-Graduação em Cirurgia: Ciências Cirúrgicas, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-903, Brazil.
Jeremy M Groll
Steven L Young
Franco J DeMayo
Jae-Wook Jeong
Amy E Hamilton
Linda C Giudice
Bruce A Lessey
Baylor College of Medicine · USUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USUniversity of South Carolina · USWright-Patterson Air Force Base · US

Funding

Targeting the PI3K Signaling Pathway in Endometrial CarcinomaP50CA098258 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BODURKA, DIANE · 2003 to 2020
$32.0M
TESTIS SPECIFIC HISTONE BINDING PROTEIN (NASP)U54HD035041 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI O'BRIEN, DEBORAH A. · 1997 to 2011
$16.1M
Trophoblast Differentiation in In Vivo and In Vitro Fertilized EmbryosU54HD055764 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TRAN, NAM D · 2007 to 2013
$11.5M
Progesterone Action in the Endometrium of Women with EndometriosisR01HD067721 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI YOUNG, STEVEN L · 2011 to 2015
$3.1M
Steroid Hormone Regulation of Uterine Function and DysfunctionR01HD057873 · NICHD · MICHIGAN STATE UNIVERSITY · PI JEONG, JAE-WOOK · 2008 to 2012
$1.3M
NICHD NIH HHS R01 HD057873NICHD NIH HHS R01HD057873NICHD NIH HHS U54 HD035041NICHD NIH HHS U54 HD055764NICHD NIH HHS U54HD055764-03NICHD NIH HHS U54-HD35041-12
6 · The paper itself

Abstract

contextPolycystic ovary syndrome (PCOS), the most common endocrinopathy of reproductive-aged women, is characterized by ovulatory dysfunction and hyperandrogenism.

objectiveThe aim was to compare gene expression between endometrial samples of normal fertile controls and women with PCOS. DESIGN AND

settingWe conducted a case control study at university teaching hospitals. PATIENTS: Normal fertile controls and women with PCOS participated in the study.

interventionsEndometrial samples were obtained from normal fertile controls and from women with PCOS, either induced to ovulate with clomiphene citrate or from a modeled secretory phase using daily administration of progesterone.

main outcome measureTotal RNA was isolated from samples and processed for array hybridization with Affymetrix HG U133 Plus 2 arrays. Data were analyzed using GeneSpring GX11 and Ingenuity Pathways Analysis. Selected gene expression differences were validated using RT-PCR and/or immunohistochemistry in separately obtained PCOS and normal endometrium.

resultsANOVA analysis revealed 5160 significantly different genes among the three conditions. Of these, 466 were differentially regulated between fertile controls and PCOS. Progesterone-regulated genes, including mitogen-inducible gene 6 (MIG6), leukemia inhibitory factor (LIF), GRB2-associated binding protein 1 (GAB1), S100P, and claudin-4 were significantly lower in PCOS endometrium; whereas cell proliferation genes, such as Anillin and cyclin B1, were up-regulated.

conclusionsDifferences in gene expression provide evidence of progesterone resistance in midsecretory PCOS endometrium, independent of clomiphene citrate and corresponding to the observed phenotypes of hyperplasia, cancer, and poor reproductive outcomes in this group of women.

Indexed as

Analysis of VarianceCase-Control StudiesClomipheneEndometriumFemaleGene ExpressionHumansImmunohistochemistryOligonucleotide Array Sequence AnalysisPolycystic Ovary SyndromePrincipal Component AnalysisProgesteroneClomipheneProgesterone

Identifiers

PMID21411543
PMCPMC3100753
OpenAlexW1985124071

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.